Provider Demographics
NPI:1407201445
Name:PYRAMID TRANSPORTATIOIN LLC
Entity Type:Organization
Organization Name:PYRAMID TRANSPORTATIOIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:FATHALLA
Authorized Official - Last Name:SHOEIB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-322-4257
Mailing Address - Street 1:4138 ST CHARLES BAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-2085
Mailing Address - Country:US
Mailing Address - Phone:210-322-4257
Mailing Address - Fax:
Practice Address - Street 1:4138 ST CHARLES BAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2085
Practice Address - Country:US
Practice Address - Phone:210-322-4357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-27
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23048795343900000X
TX2538344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi